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Appendix surgery scar pictures | Appendix surgery scar removal

 appendix surgery scar pictures | scar after appendix surgery | appendix surgery scar removal

Appendix surgery scar pictures | Appendix surgery scar removal


Appendicitis is an inflammation of the appendix, the diverticulum of the right colon. This inflammation occurs due to the obstruction of this organ, especially by feces. This pathology is very common in young people under the age of 20 and sometimes requires an emergency appendectomy.


Appendix surgery scar pictures | Appendix surgery scar removal


APPENDICITIS SCAR

Appendix surgery scar pictures | Appendix surgery scar removal


Appendectomy is an emergency operation. It is also one of the components of training for surgeons and one of the first surgeries performed, as it is one of the simplest operations when the diagnosis is clear. The classic technique developed at the end of the 19th century consisted in making an incision at the tip of McBurney, close to the appendix in most cases. Then the surgeon grasps, cuts and removes it through the same incision.


 

Appendix surgery scar pictures | Appendix surgery scar removal


Practiced especially on young subjects, appendectomy leaves a small scar on the stomach . Far from being aesthetic, it is quite possible to treat this scar and even sometimes to make it disappear.

Appendix surgery scar pictures | Appendix surgery scar coverup



According to the French Society of Reconstructive and Aesthetic Plastic Surgery, it is almost impossible to completely remove a scar even with surgery. If during the incision or injury, only the epidermis is affected, the skin therefore retains no trace. But once the dermis is affected, either because of a burn, a fall or a surgical operation, the situation is different. Of course, the skin is rebuilt. However, damaged tissue will never look the same again. Thus, care can be taken to make the scar as inconspicuous as possible.


Appendix surgery scar pictures | Appendix surgery scar coverup


THE POSTOPERATIVE HEALING PROCESS

Whether it is a knee injury or an appendectomy, the healing process remains the same. Healing is a complex repair process, during which the body must stop bleeding. The part concerned must be protected, healed and the wound must be properly closed. The injured tissue must be rebuilt and become as close to the original tissue as possible. Depending on the depth of the wound, we call superficial lesions (epidermis) or deep lesions (dermis and subcutaneous tissue). In deep lesions (dermis and subcutaneous tissue), the repair process is more complicated, since several layers of tissue are damaged. This leads to the formation of scar tissue, the characteristics of which are very similar to the original tissue.

Appendix surgery scar pictures | Appendix surgery scar removal


It takes place in 4 stages :


CLOTTING PHASE

INFLAMMATORY AND CLEANSING PHASE

This step removes aggressive substances and cellular debris after cleaning the wounds.


Whatever the type of wound, healing always begins with the appearance of early inflammatory phenomena: vasodilatation (linked to redness, erythema and fever) and increased vascular permeability. First, tissue edema is observed immediately after the trauma. Coagulation is induced by activation of released thrombokinase. This definately will lead to the formation of fibrin.


After a few minutes exudation begins, which helps to prevent infection and clean the wound. Platelets enclosed in the clot release growth factors at the site of injury and attract inflammatory cells.

 

Then it is the turn of monocytes and macrophages to intervene. They coordinate the different stages of tissue repair by engulfing necrotic tissue, foreign bodies and bacteria and by stimulating the growth of new blood vessels (neovascularization), the growth of fibroblasts and the proliferation of keratinocytes.

Appendix surgery scar pictures | Appendix surgery scar removal


PROLIFERATION PHASE (OR BUDDING PERIOD)

The clot becomes a scab. Epithelial cells gather underneath to close the wound.


As the damaged blood vessels regenerate, the fibroblasts migrate along the fibrin filaments and begin to synthesize scar tissue (composed of collagen fibers and glycoproteins).

Appendix surgery scar pictures | Appendix surgery scar coverup


The tissue filling the wound at this stage is called granulation tissue.

It is characterized by significant growth of epithelial cells under the crust, fibroblasts depositing collagen fibers in a disorderly fashion, and continuous regeneration of blood vessels.

Appendix surgery scar pictures | Appendix surgery scar coverup


RIPENING PHASE

This is the stage of scar remodeling, the edges are contracted by the myofibroblasts, and the collagen fibrous tissues are randomly placed.


The production of collagen is reduced (otherwise keloids are formed), the number of fibroblasts decreases at the same time and the blood vessels regenerate. Resistance will be strengthened. Once the epidermis returns to its normal thickness, the scab will fall off.

Appendix surgery scar pictures | Appendix surgery scar coverup


This is the longest stage: it takes 6 to 24 months for the scar to heal. At first, the wound contracted under the influence of myofibroblasts. Then, as the water is depleted, the blood vessels will be fewer and fewer and the granulation tissue will become stronger. But it will never be as strong as the tissue it replaces and there is a high risk of recurrence during the period before it fully heals.

Appendix surgery scar pictures | Appendix surgery scar removal


Depending on the size of the wound and the care given to it, each of these stages can take more or less time to develop. However, the healing time may take time depending on the age of the person (the younger the patient, the faster it heals), the wound itself (surgery or accident), the speed of treatment and the closure system wound (staples, wire, skin glue, nothing…), the postoperative care provided…

Appendix surgery scar pictures | Appendix surgery scar coverup


THE USE OF SILICONE DRESSINGS OR CORTICOSTEROID INJECTIONS

After an appendicitis operation, it is possible to avoid a large scar on the lower abdomen with new technology. After the operation, the scar may still be too fragile and hollow, or become very stretchy, even too large, colored, irregular, etc. So the solution lies in the operation, that is to say to open it and then close it again. Instead of sutures, bioglues can already be used. This process is still the subject of research and a team, bringing together researchers from the CNRS and INSERM, has just successfully tested a nanoparticle gel that is applied with a brush. However, for so-called keloid scars – red, swollen scars, surgery should be avoided unless they are very large. For appendicitis,


Other recommended measures: a silicone-based dressing for moderately swollen scars or corticosteroid injections to combat tissue inflammation. Finally, cryotherapy is also possible. It considerably reduces the size of keloid scars and reduces the risk of recurrence.

POSTOPERATIVE CARE

Until the wire or staples are removed after about a week, treatment every 2 to 3 days is in order. To do this: clean the scar with saline solution and apply a bandage. Avoid getting the wound and dressing wet. Once the wire or staples are removed, no dressing is needed. In this case, the wound is usually closed and the scar will have a pink color. In addition, we recommend that you massage the scars regularly to help the skin recover faster. This gesture also makes it possible to reduce the appearance of scars, improve the elasticity of the skin, break the adhesions of the scars and prevent the appearance of oedemas. When massaging scars, you can use fatty substances (such as Vaseline) or gels designed for this purpose, such as Kelocote, a silicone-based gel to help reduce scarring. Of course, you need to massage yourself gently and carefully, so as not to hurt yourself.


If you want to bask in the sun, the best UV protection is staying in the shade. Remember that new skin cells cannot withstand ultraviolet rays (melanin), but this depends on the type, location and size of the scar. It is therefore necessary to limit the exposure of the scar to the sun as much as possible. However, if you wish to expose this part of your body, please use a sunscreen with a sun protection factor of SPF (sun protection factor) 50+ for effective coverage.

TREATMENTS TO FADE APPENDICITIS SCARS

Medicinal creams based on oils, vitamins or hyaluronic acid (such as Bi-Oil, Avene, La Roche Posay, etc.) can also help reduce scarring. Trace elements such as zinc and copper contained in its composition stimulate cell renewal. Used twice a day for several weeks, these products can dramatically improve the appearance of scars. In terms of price, it takes an average of 10-15 euros to obtain a good quality cream.

 The laser also reduces the size of the scar, but it does not make it disappear. Depending on the size of the latter, he can smooth it by grinding the skin. If the scar is normal, 1 or 2 operations are enough.

If keloid scars appear, corticosteroids are usually injected. The laser can also be an alternative method, but you must be careful not to resort to it too soon, because the keloid scars are stubborn and can recur.

Radio frequency treatment helps stimulate fibroblasts on the scar and build better quality epidermal tissue.

Surgery can also be a solution: the surgeon incises the first scar to make it thinner.

Appendix surgery scar pictures | Appendix surgery scar removal


WHAT TYPES OF SCARS CAN SILICONE GEL BE APPLIED TO?

Cicacote silicone gel can be used on all scars (keloid, atrophic, hypertrophic) following an injury, surgery, caesarean section, acne pimples, injury or a burn. It can be used on an old scar, although it is more effective on a scar that is one or two years old at most.

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